NPI 1023481322
Impact Behavior Health Services LLC
Practice location
- Address
- 12147 Coursey Blvd, Baton Rouge, LA 70816-4410
- Phone
- (225) 771-8849
- Fax
- (225) 771-8876
Authorised official
- Name
- John Anthony Clark
- Title
- Ceo
- Phone
- (225) 771-8849
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1023481322
- Entity type
- Organization
- NPI issued
- 9 Nov 2015
- Record last updated
- 9 Nov 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.